Monthly Archives: May 2022
Pitfalls in Chart Reviews: It’s not only about the Bottom Line
In this last blog in our four-part series on pitfalls, we thought we’d discuss the culture of your MRA department and how it guides the work. Our almost-20 years in this field have brought us into contact with practices and … Read Full Post
Pitfalls in Chart Reviews: Specialist Notes
In this four-part series, we’ve explored so far, the use of suspect reports and issues related to prior medical records. In this installment, we’ll look at what can make specialist notes a little challenging to the chart reviewer. Although the … Read Full Post
Top Home Health Agency Survey Deficiencies: The POC
In this blog series, we’ll explore the most common survey deficiencies of skilled home health agencies as reported by the Accreditation Commission for Health Care (ACHC), one of three accrediting organizations for home health agencies (among others) with deemed status … Read Full Post
What We’re Reading: Problem People & Employee Discipline
“The reality is that most employers don’t like terminations.” This statement from a valuable whitepaper about “problem people” set the tone for some valuable suggestions when an employee just isn’t cutting it. To begin, the author – who is an … Read Full Post
Pitfalls in Chart Reviews: Prior PCP Records
In Part 2 of this series on the challenges encountered in chart reviewing for risk adjusted conditions, we’ll discuss the prior PCP. Every single primary care practice has a mechanism for requesting and obtaining records from the patient’s prior primary … Read Full Post
Pitfalls in Chart Reviews: Suspect Reports
Our company began working with risk adjusted payments in 2004, shortly after the CMS-HCC model was implemented, and as you can imagine, we’ve reviewed thousands of medical charts. Over the years, as providers from all specialties have become more versed … Read Full Post